Doctor Name: | DR. LINDSEY ELIZABETH TIJERINA |
NPI Number: | 1225359235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 418 Neal Rd Wharton, TX - 774888112 |
Business Phone Number: | 7134094498 |
Business Fax Number: | |
Mailing Address: | Po Box 15, WHARTON |
State: | TX |
Postal Code: | 774880015 |
Phone Number: | 7134094498 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2010 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |